NPIMap

Organization Active NPI

Mariano Prime LLC

Doing business as Mega Drug III

  • Clinic Pharmacy
  • Tamuning, GU
National Provider Identifier
1285283382
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
MARIANO PRIME LLC
Doing business as
Mega Drug III
Practice address
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone
(671) 969-5600
Fax
(671) 969-2800
NPI assigned
Sep 11, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arthur Surla MarianoNPI 1457673667
Title
President
Phone
(671) 646-5355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

548 S Marine Corps Dr
Tamuning, GU 96913-3539

Mailing address

255 Farenholt Ave
Tamuning, GU 96913-3209
Phone (671) 646-5355

Other names 1

  • Mega Drug III Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mariano Prime LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1285283382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FARENHOLT AVE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133209",
            "telephone_number": "671-646-5355",
            "fax_number": "671-646-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133539",
            "telephone_number": "671-969-5600",
            "fax_number": "671-969-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO PRIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "MARIANO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "SURLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "671-646-5355"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mega Drug III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.